Abstract
The intrauterine environment seems to be important for the occurrence of cardiovascular and other chronic diseases in adulthood. The aim of the present study is to analyze the importance of birthweight, birthlength and Ponderal Index (PI) for Body Mass Index (BMI) and overweight at 18 years of age.
In this cohort study, the nationwide Swedish Medical Birth Registry for the years 1973–1976 was linked with the national Military Service Conscription Registry for 1990–1996. Of 193,056 children born at term 1973–1976, 165,109 (85.5%) could be followed-up at 18 years of age. The children were divided into percentile groups according to birthweight and birthlength for each gestational week. They were also assigned to three different categories, according to birthweight and birthlength for each gestational week: infants with values ≤5th percentile, values >5th and ≤95th percentile, and values >95th percentile.
Clear-cut associations were found between birthweight and BMI, and between PI at birth and BMI at 18 years of age. High birthweight and normal birthlength and also high birthweight and high birthlength for gestational age were found to be risk factors for overweight and severe overweight among young men in Sweden.
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References
Prentice AM, Jebb SA. Obesity in Britain: Gluttony or sloth? Br Med J 1995; 311: 437–439.
Kuskowska-Wolk A, Bergström R. Trends in body mass index and prevalence of obesity in Swedish men 1980–1989. J Epidemiol Commun Health 1993; 47: 103–108.
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults. The national health and nutrition examination surveys, 1960 to 1991. JAMA 1994; 272: 205–211.
Stunkard AJ, Harris JR, Pedersen NL, McClearn GE. The body mass index of twins who have been reared apart. N Engl J Med 1990; 322: 1483–1487.
Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med 1993; 22: 167–177.
Mossberg H-O. 40-year follow-up of overweight children. Lancet 1989; 2: 491–493.
Charney E, Goodman HC, McBride M, Lyon B, Pratt R. Childhood anteccdents of adult obesity. Do chubby infants become obese adults? N Engl J Med 1976: 295:6–9.
Gluckman PD, Harding JE. Fetal growth retardation: Underlying endoctine mechanisms and postnatal consequences. Acta Paediatr 1997; Suppl 422: S69–S72.
Verhaeghe J, Van Bree R, Van Herck E, Laureys J, Boullion R, Van Assche FA. C-peptide, insulin-like growth factors I and II, and insulin-like growth factor binding protein-1 in umbilical cord serum: Correlations with birth weight. Am J Obstet Gynecol 1993; 169: 89–97.
Hausman GJ. The influence of thyroxine on the differentiation of adipose tissue and skin during fetal development. Pediatric Research 1992; 32: 204–211.
Raveth GP, Stein ZA, Susser MW. Obesity in young men after famine exposure in utero and early infancy. N Engl J Med 1976; 295: 349–353.
Barker JP, Gluckman PD, Godfrey KM, Harding JF, Owens JA, Robinson JS. Fetal nutrition and cardiovascular disease in adult life. Lancet 1993; 341: 938–941.
Barker DJ, Osmond C, Golding J, Kuh D, Wadsworth MEJ. Growth in utero, blood pressure in childhood and adult life, and mortality from cardiovascular disease. Br Med J 1989; 298: 564–567.
Barker DJP. The fetal origins of coronary heart disease. Acta Paediatr 1997; Suppl 422: 78–82.
Godfrey KM, Barker DJP. Maternal nutrition in relation to fetal and placental growth. Eur J Obstet Gynecol Reprod Biol 1995; 61: 15–22.
Leon DA, Koupilova I, Lithell H-O, Berglund L, Mohsen R, Vâgerö D, Lithell U-B, McKeigue PM. Failure to realise growth potential in utero and adult obesity in relation to blood pressure in 50 year old Swedish men. Br Med J 1996; 312: 401–406.
Joseph KS, Kramer MS. Review of the evidence on fetal and early childhood antecedents of adult chronic disease. Epidemiol Rev 1996; 18: 158–174.
Law CM, Barker DJP, Osmond C, Fall CHD, Simmonds SJ. Early growth and abdominal fatness in adult life. In: Barker DJP (ed), Fetal and infant origins of adult discase. London: BMJ Publishing Group 1992: 291–296.
Seidman DS, Laor A, Gale R, Stevenson DK, Danon YL. A longitudinal study of birth weight and being overweight in late adolescence. AJDC 1991; 145: 782–785.
WHO Technical Report Series 854. Physical status: The use and interpretation of anthropometry. Geneva: World Health Organization, 1995.
SAS Institute Inc. SAS procedures guide, Version 6, Third edition. Cary, NC: SAS Institute Inc., 1990.
Rothman KJ. Modern epidemiology. Boston: Little, Brown and Company, 1986: 173.
Stewart AW, Jackson RT, Ford MA, Beaglehole R. Underestimation of relative weight by use of self-reported height and weight. Am J Epidemiol 1987; 125: 122–126.
Rissanen AM, Heliövaara M, Knekt A, Reunanen A, Raomaa A. Determinants of weight gain and overweight in adult Finns. Eur J Clin Nutr 1991; 45: 419–430.
Kuskowska-Wolk A, Bergström R. Trends in body mass index and prevalence of obesity in Swedish men 1980–1989. J Epidemiol & Community Health 1993; 47: 103–108.
Ravelli GP, Belmont L. Obesity in nineteen year-old men: Family size and birth order associations. Am J Epidemiol 1979; 109: 66–70.
Weijin Z, Olsen J. Is foctal growth reduction induced by smoking modified by body mass or gestational weight gain? Scand J Soc Med 1996; 24: 155–156.
Selvin S, Abrams B. Analysing the relationship between maternal weight gain and birthweight: Exploration of four statistical issues. Paediatr Perinat Epidemiol 1996; 10: 220–234.
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Rasmussen, F., Johansson, M. The relation of weight, length and ponderal index at birth to body mass index and overweight among 18-year-old males in Sweden. Eur J Epidemiol 14, 373–380 (1998). https://doi.org/10.1023/A:1007411613576
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DOI: https://doi.org/10.1023/A:1007411613576